Indications, functional and quality of life outcomes of new pouch creation during re-do ileal pouch anal anastomosis: A comparative study with existing pouch salvage

Surgery ◽  
2021 ◽  
Author(s):  
Eren Esen ◽  
Hasan T. Kirat ◽  
Arman Erkan ◽  
Erman Aytac ◽  
Joanna Esterow ◽  
...  
2018 ◽  
Vol 42 (11) ◽  
pp. 3746-3754 ◽  
Author(s):  
Olga A. Lavryk ◽  
Luca Stocchi ◽  
Jean H. Ashburn ◽  
Meagan Costedio ◽  
Emre Gorgun ◽  
...  

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Eren Esen ◽  
Michael J. Grieco ◽  
Arman Erkan ◽  
Erman Aytac ◽  
Alton G. Sutter ◽  
...  

2014 ◽  
Vol 8 ◽  
pp. S424 ◽  
Author(s):  
J.M. Bakia ◽  
P.H.A. Bours ◽  
D.M.A.E. Jonkers ◽  
L.W.E. van Heurn ◽  
M.J. Pierik ◽  
...  

2019 ◽  
Vol 14 (6) ◽  
pp. 726-733 ◽  
Author(s):  
Pramodh Chandrasinghe ◽  
Michele Carvello ◽  
Karin Wasmann ◽  
Caterina Foppa ◽  
Pieter Tanis ◽  
...  

Abstract Background The transanal approach to ileal pouch-anal anastomosis [Ta-IPAA] provides better access to the lower pelvis with lower short-term morbidity in ulcerative colitis [UC]. The aim of this study was to assess the long-term functional outcomes after Ta-IPAA vs transabdominal IPAA [Abd-IPAA] in UC. Methods A multicentre cohort analysis was performed between March 2002 and September 2017. Patient characteristics, surgical details and postoperative outcomes were compared. CGQL [Cleveland global quality of life] score at 12 months with a functioning pouch was considered the primary end point. Results A total of 374 patients [100 Ta-IPAA vs 274 Abd-IPAA] were included. Ta-IPAA demonstrated a comparable overall quality of life [CGQL score] to Abd-IPAA [0.75 ± 0.11 vs 0.71 ± 0.14; respectively, p = 0.1]. Quality of life [7.71 ± 1.17 vs 7.30 ± 1.46; p = 0.04] and energy-level items [7.16 ± 1.52 vs 6.66 ± 1.68; p = 0.03] were significantly better after Ta-IPAA, while the quality of health item was comparable [7.68 ± 1.26 vs 7.64 ± 1.44; p = 0.96]. Analysis excluding anastomotic leaks did not change the overall CGQL scores. Stool frequencies [>10/24 h: 22% vs 21%; p = 1.0] and the rate of a single episode of major incontinence during the following 12-month period [27% vs 26%; p = 0.89] were similar. The differences in 30-day morbidity rates [33% vs 41%; p = 0.2] and anastomotic leak rates were not significant [6% vs 13%; p = 0.09]. Conclusions This study provides evidence of comparable long-term functional outcome and quality of life after Ta-IPAA and Abd-IPAA for UC.


1998 ◽  
Vol 10 (12) ◽  
pp. A31
Author(s):  
J. Steens ◽  
W. J.H.J. Meijerink ◽  
A. M. Stiggelbout ◽  
W. M. Post ◽  
R. A. van Hogezand ◽  
...  

2003 ◽  
Vol 238 (2) ◽  
pp. 221-228 ◽  
Author(s):  
Conor P. Delaney ◽  
Victor W. Fazio ◽  
Feza H. Remzi ◽  
Jeff Hammel ◽  
James M. Church ◽  
...  

2008 ◽  
Vol 51 (4) ◽  
pp. 392-396 ◽  
Author(s):  
David W. Larson ◽  
Michael M. Davies ◽  
Eric J. Dozois ◽  
Robert R. Cima ◽  
Karen Piotrowicz ◽  
...  

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